Organization
STEVEN I GOODMAN OD PC
Active
Other names
family eyecare of medford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN I GOODMAN O.D. (DR.)
(631) 758-5575
Entity
Organization
Contact information
Practice address
1643 ROUTE 112 STE A, MEDFORD, NY 11763-3654
(631) 758-5575
(631) 758-5579
Mailing address
1643 ROUTE 112 STE A, MEDFORD, NY 11763-3654
(631) 758-5575
(631) 758-5579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005113
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT005113
NY
152WL0500X
Low Vision Rehabilitation Optometrist
VUT005113
NY
152WP0200X
Pediatric Optometrist
VUT005113
NY
152WS0006X
Sports Vision Optometrist
VUT005113
NY
152WV0400X
Vision Therapy Optometrist
VUT005113
NY
152WX0102X
Occupational Vision Optometrist
VUT005113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03155837
—
NY
Enumeration date
08/15/2005
Last updated
03/02/2017
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